KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC (EIN 52-0954463)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-15
IRS object ID: 202213199349310361
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-15T11:11:47-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520954463	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KAISER FOUNDATION HEALTH PLAN OF THE	BusinessNameLine1Txt
Business Name Line2	MID-ATLANTIC STATES INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% CHIEF ACCOUNTING OFFICER	InCareOfNm
Business Name Control	KAIS	BusinessNameControlTxt
Phone	5102716611	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA SUITE 15L	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL P WALTON	PersonNm
Person Title	CHIEF TAX OFFICER	PersonTitleTxt
Phone	5102716611	PhoneNum
Signature	2022-10-21	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MICHAEL P	PersonFirstNm
Person Last	WALTON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Robert W Friz	PreparerPersonNm
PTIN	P00438748	PTIN
Phone	2673303000	PhoneNum
Preparation	2022-10-20	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RUTH E WILLIAMS-BRINKLEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA SUITE 15L	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$5,576,062,824	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.kp.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1972	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	8864	TotalEmployeeCnt
Total Volunteers	323	TotalVolunteersCnt
Total Gross UBI	$468,538	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$442,825	PYContributionsGrantsAmt
CY Contributions Grants	$1,190,310	CYContributionsGrantsAmt
PY Program Service Revenue	$5,114,502,014	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,303,028,272	CYProgramServiceRevenueAmt
PY Investment Income	$20,986,463	PYInvestmentIncomeAmt
CY Investment Income	$3,073,751	CYInvestmentIncomeAmt
PY Other Revenue	$322,520	PYOtherRevenueAmt
CY Other Revenue	$182,818	CYOtherRevenueAmt
PY Total Revenue	$5,136,253,822	PYTotalRevenueAmt
CY Total Revenue	$5,307,475,151	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,826,304	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,075,599	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$980,677,246	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$981,197,473	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,960,293,464	PYOtherExpensesAmt
CY Other Expenses	$4,397,937,606	CYOtherExpensesAmt
PY Total Expenses	$4,943,797,014	PYTotalExpensesAmt
CY Total Expenses	$5,382,210,678	CYTotalExpensesAmt
PY Revenues Less Expenses	$192,456,808	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$74,735,527	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,356,811,589	TotalAssetsBOYAmt
Total Assets EOY	$2,765,276,515	TotalAssetsEOYAmt
Total Liabilities BOY	$2,623,410,245	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,801,558,177	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$266,598,656	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$36,281,662	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$4,249,664,918	ExpenseAmt
Grant	$181,759	GrantAmt
Revenue	$4,650,411,454	RevenueAmt
Desc	MEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES (KFHP-MAS) PROVIDES MEDICAL AND SURGICAL CARE, INCLUDING URGENT CARE SERVICES, EXTENDED CARE AND HOME HEALTH CARE, FOR ITS MEMBERS WITHOUT REGARDS TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN OR THE ABILITY TO PAY. KFHP-MAS EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$724,763,872	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$652,616,818	RevenueAmt
Desc	MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES (KFHP-MAS) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KFHP-MAS MEMBERS, BUT ALSO WITHIN THE COMMUNITIES WE SERVE. AT THE END OF 2021, A TOTAL OF 154,000 INDIVIDUALS WERE RECEIVING THE BENEFITS OF FULL MEMBERSHIP THROUGH KFHP-MAS'S MEDICAID MANAGED CARE PROGRAMS IN MARYLAND AND VIRGINIA. IN ADDITION, KFHP-MAS PROVIDED HEALTH CARE ON A FEE-FOR-SERVICE BASIS FOR MEDICAID BENEFICIARIES WHO WERE NOT ENROLLED AS KFHP-MAS MEMBERS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$82,548,271	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE) KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES (KFHP-MAS) PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) AND CHARITABLE HEALTH COVERAGE (CHC) PROGRAMS. KFHP-MAS OFFERS FINANCIAL ASSISTANCE THROUGH THE MFA PROGRAM TO HELP FAMILIES AND INDIVIDUALS WITH A DEMONSTRATED FINANCIAL NEED PAY FOR ALL OR PART OF THE COST OF EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED IN KAISER PERMANENTE FACILITIES AND/OR BY KAISER PERMANENTE PROVIDERS. IN 2021, THIS PROGRAM ASSISTED APPROXIMATELY 79,000 PATIENTS THROUGH FINANCIAL ASSISTANCE. THE CHC PROGRAM OFFERS REGULAR KAISER FOUNDATION HEALTH PLAN MEMBERSHIP AT MINIMAL COST TO LOW INCOME FAMILIES WHO ARE NOT ELIGIBLE FOR OTHER PUBLIC OR PRIVATELY SPONSORED COVERAGE. APPROXIMATELY 9,000 INDIVIDUALS WERE RECEIVING COMPREHENSIVE HEALTH CARE THROUGH THIS PROGRAM AT THE END OF 2021.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$2,893,840	ExpenseAmt
Grant	$15,005,761	GrantAmt
Revenue	$0	RevenueAmt
Desc	SEE EXEMPT PURPOSE ACHIEVEMENTS IN SCH O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$15,005,761	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$2,893,840	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$5,071,982,822	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	4059	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8864	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHIEF ACCOUNTING OFFICER	PersonNm
Phone	5102716611	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA STE 15L	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd
Gregory Adams
Chairman & CEO	4.0	46.0	Yes (X)	Yes (X)	$0	$13,283,101	$2,279,123
Arthur Southam
EVP, Health Plan Ops & CGO	4.0	46.0		Yes (X)	$0	$4,764,836	$459,569
Kathryn Lancaster
EVP & Chief Financial Officer	3.5	46.5		Yes (X)	$0	$4,580,354	$447,559
Janet Liang
EVP, Group President & COO	3.5	46.5		Yes (X)	$0	$4,004,413	$934,930
Kimberly Horn
EVP, Group President, MOC	3.5	46.5		Yes (X)	$0	$3,251,755	$1,473,258
Mark Zemelman
SVP, General Counsel & Secy	1.0	49.0		Yes (X)	$0	$2,838,538	$134,757
Ruth Williams-Brinkley
Regional President - MAS	45.0	5.0		Yes (X)	$0	$2,225,152	$405,497
Vanessa Benavides
SVP, Chief Legal Officer	1.5	48.5		Yes (X)	$0	$1,614,569	$272,107
Thomas Meier
SVP, Corporate Treasurer	1.5	48.5		Yes (X)	$0	$1,461,837	$301,391
Alfonse Upshaw
SVP,Corporate Controller & CAO	3.5	46.5		Yes (X)	$0	$1,150,839	$199,363
Donald Orndoff
SVP, NFS	4.0	46.0		Yes (X)	$0	$1,127,680	$99,760
William Wiechmann
Assistant Secretary	50.0	0.0		Yes (X)	$0	$857,930	$153,553
Heidi Veltman
VP, COO - GA	1.0	49.0			$0	$735,510	$243,386	Yes (X)
Frank Titus
SVP, Group Operations	0.0	50.0			$0	$710,854	$184,783		Yes (X)
Lawrence Hamilton
VP, COO - MAS	50.0	0.0			$0	$665,850	$168,290			Yes (X)
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy	3.5	46.5		Yes (X)	$0	$541,112	$198,385
Ryan Jenson
Interim Corp Controller & CAO	3.0	47.0		Yes (X)	$0	$606,694	$125,965
Cynthia Cifuentes-Finkel
VP, Mktg Comm & Cmty Relations	50.0	0.0			$0	$529,084	$148,141	Yes (X)
Machelle Behzadi
VP, Quality, Service & CNE	50.0	0.0			$0	$457,837	$210,143	Yes (X)
Wayne Wilson
VP, Govt Prgms & Ext Relations	50.0	0.0			$0	$656,524	$2,827	Yes (X)
Robert Ricketts
VP, CFO - MAS	50.0	0.0			$0	$469,618	$121,703			Yes (X)
Joan Gelrud
SVP, Hlth Plan & Hosp Quality	0.0	0.0			$0	$540,707	$7,912		Yes (X)
Kristin Bear
Assistant Secretary	4.0	46.0		Yes (X)	$0	$428,579	$109,839
Delinda Washington
VP, Human Resources - MAS	50.0	0.0			$0	$471,962	$26,011	Yes (X)
Mark Ruszczyk
VP, MSBD - MAS	50.0	0.0			$0	$484,329	$6,179			Yes (X)
Gracelyn McDermott
VP, MSBD - MAS	50.0	0.0			$149,578	$219,778	$111,869			Yes (X)
Bernice Gould
Assistant Secretary	1.0	49.0		Yes (X)	$0	$256,938	$104,758
Maryann Bodayle
Assistant Secretary	1.0	49.0		Yes (X)	$0	$191,010	$55,200
Rochelle Roth
Assistant Secretary	0.0	50.0			$0	$232,789	$3,090		Yes (X)
Ramon F Baez
Director	0.24	4.53	Yes (X)		$0	$237,259	-$12,291
Matthew T Ryan
Director	0.25	8.25	Yes (X)		$0	$220,855	$0
Margaret E Porfido JD
Director	0.25	2.75	Yes (X)		$11,000	$268,077	-$62,832
Leslie S Heisz
Director	0.3	5.7	Yes (X)		$0	$233,428	-$17,324
Judith A Johansen JD
Director	0.5	9.0	Yes (X)		$0	$277,470	-$61,490
Jeffrey E Epstein
Director	0.5	8.0	Yes (X)		$0	$230,934	-$16,869
Richard P Shannon MD
Director	0.5	5.5	Yes (X)		$0	$210,000	$3,503
David F Hoffmeister
Director	0.3	9.7	Yes (X)		$0	$230,207	-$18,455
A Eugene Washington MD
Director	0.25	7.05	Yes (X)		$0	$205,500	$1,267
David J Barger
Director	0.5	11.5	Yes (X)		$0	$199,500	-$357
Regina M Benjamin MD MBA
Director	0.5	8.0	Yes (X)		$0	$196,138	-$16,773
Cynthia A Telles PHD
Director	0.7	9.0	Yes (X)		$0	$131,496	-$28,540
Edward YW Pei
Director	0.0	0.0			$0	$56,844	$0		Yes (X)
Kim J Kaiser
Director	0.0	0.5			$0	$39,404	$0		Yes (X)
Jenny J Ming
Director	0.3	4.6	Yes (X)		$0	$101,209	-$95,667

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$48,459,664	TotReportableCompRltdOrgAmt
Total Other Compensation	$8,714,431	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2878	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MID-ATLANTIC PERMANENTE MEDICAL GRO
2101 EAST JEFFERSON STREET	ROCKVILLE	MD	20852	MEDICAL SERVICES	$972,453,462
HOLY CROSS HEALTH
1500 FOREST GLEN RD	SILVER SPRINGS	MD	20910	MEDICAL SERVICES	$178,729,335
WHITING-TURNER CONTRACTING COMPANY
300 E JOPPA RD	BALTIMORE	MD	21286	CONSTRUCTION	$175,598,826
VIRGINIA HOSPITAL CENTER
8456 TYCO ROAD	VIENNA	VA	22182	MEDICAL SERVICES	$156,648,840
CHILDRENS NATIONAL MEDICAL ASSOCIAT
PO BOX 744785	ATLANTA	GA	30374	MEDICAL SERVICES	$104,021,632

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	417	CntrctRcvdGreaterThan100KCnt
Government Grants	$20,938	GovernmentGrantsAmt
All Other Contributions	$1,169,372	AllOtherContributionsAmt
Total Contributions	$1,190,310	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEMBERS' DUES	900099	$3,737,684,512	$3,737,684,512
MEDICARE REVENUE	900099	$1,189,362,599	$1,189,362,599
SUPPLEMENTAL REVENUE	900099	$151,090,387	$151,090,387
NON-PLAN & INDUSTRY	900099	$1,831,736	$1,363,198	$468,538
OTHER PROGRAM SERVICES	900099	$223,059,038	$223,059,038

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,303,028,272	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,070,610	TotalRevenueColumnAmt
Exclusion	$4,070,610	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$182,818	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$182,818	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$182,818	TotalRevenueColumnAmt
Exclusion	$182,818	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$267,358,944	SecuritiesAmt
Other	$231,870	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$267,385,022	SecuritiesAmt
Other	$1,202,651	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$26,078	SecuritiesAmt
Other	-$970,781	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$996,859	TotalRevenueColumnAmt
Exclusion	-$996,859	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,307,475,151	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,302,559,734	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$468,538	UnrelatedBusinessRevenueAmt
Exclusion	$3,256,569	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,075,599	TotalAmt
Program Services	$3,075,599	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$177,059	TotalAmt
Management And General	$177,059	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$668,972,025	TotalAmt
Program Services	$634,521,545	ProgramServicesAmt
Management And General	$34,450,480	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$147,239,406	TotalAmt
Program Services	$147,239,406	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$109,516,832	TotalAmt
Program Services	$95,402,082	ProgramServicesAmt
Management And General	$14,114,750	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$55,292,151	TotalAmt
Program Services	$55,292,151	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$153,432	TotalAmt
Management And General	$153,432	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$994,408	TotalAmt
Management And General	$994,408	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$252,149	TotalAmt
Management And General	$252,149	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$236,823	TotalAmt
Management And General	$236,823	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$18,841,799	TotalAmt
Program Services	$395,135	ProgramServicesAmt
Management And General	$18,446,664	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,353,711	TotalAmt
Program Services	$25,139,088	ProgramServicesAmt
Management And General	$1,214,623	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$238,151,726	TotalAmt
Program Services	$183,273,592	ProgramServicesAmt
Management And General	$54,878,134	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$53,049,978	TotalAmt
Program Services	$53,049,978	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,383,335	TotalAmt
Program Services	$1,342,149	ProgramServicesAmt
Management And General	$41,186	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$10,773	TotalAmt
Management And General	$10,773	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,142,037	TotalAmt
Program Services	$23,142,037	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$109,212,144	TotalAmt
Program Services	$109,212,144	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$27,201,363	TotalAmt
Program Services	$27,201,363	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BASIC CONTRACTUAL PAYMENTS	$1,901,375,017	$1,901,375,017
MEDICAL & OTHER SUPPLIES	$865,817,423	$809,381,809	$56,435,614
PURCHASED MEDICAL SERVICES	$642,694,718	$642,694,718
INTER-REGIONAL CHARGES	$220,541,246	$214,612,766	$5,928,480

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$268,525,524	TotalAmt
Program Services	$145,632,243	ProgramServicesAmt
Management And General	$122,893,281	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,382,210,678	TotalAmt
Program Services	$5,071,982,822	ProgramServicesAmt
Management And General	$310,227,856	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$93,890,707	BOYAmt
EOY	$87,645,326	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$265,612,266	BOYAmt
EOY	$281,839,243	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$42,339,686	BOYAmt
EOY	$44,289,904	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,849,711	BOYAmt
EOY	$65,069,410	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,641,919,782	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$989,664,523	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,378,465,768	BOYAmt
EOY	$1,652,255,259	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$329,673,825	BOYAmt
EOY	$326,791,516	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$239,979,626	BOYAmt
EOY	$307,385,857	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,356,811,589	BOYAmt
EOY	$2,765,276,515	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$484,483,814	BOYAmt
EOY	$430,088,790	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$57,996,179	BOYAmt
EOY	$70,158,241	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,080,930,252	BOYAmt
EOY	$2,301,311,146	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,623,410,245	BOYAmt
EOY	$2,801,558,177	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$8,301,762	BOYAmt
EOY	$8,301,762	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	-$274,900,418	BOYAmt
EOY	-$44,583,424	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$266,598,656	BOYAmt
EOY	-$36,281,662	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,356,811,589	BOYAmt
EOY	$2,765,276,515	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$74,735,527	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,933,549	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$308,986,070	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$431,622	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$442,825	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,190,310	CurrentTaxYearAmt
Total	$2,064,757	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,700,220,530	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,339,528,366	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,669,434,994	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,115,468,095	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,302,559,734	CurrentTaxYearAmt
Total	$23,127,211,719	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,700,220,530	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,339,528,366	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,669,866,616	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,115,910,920	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,303,750,044	CurrentTaxYearAmt
Total	$23,129,276,476	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$23,129,276,476	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,320,498	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,236,407	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,184,603	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,607,433	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,253,428	CurrentTaxYearAmt
Total	$49,602,369	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,320,498	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,236,407	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,184,603	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,607,433	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,253,428	CurrentTaxYearAmt
Total	$49,602,369	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$57,680	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,700	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,006	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$67,386	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,705,598,708	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,352,767,473	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,685,051,219	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,127,525,359	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,308,003,472	CurrentTaxYearAmt
Total	$23,178,946,231	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99786	PublicSupportCY509Pct
Public Support PY509	0.99765	PublicSupportPY509Pct
Investment Income CY	0.00214	InvestmentIncomeCYPct
Investment Income PY	0.00233	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$62,755	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$69,009	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$252,149	OtherActivitiesAmt
Total Lobbying Expenditures	$383,913	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1A THROUGH 1I	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION, KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (KFHP MAS), IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM (KP) AND PARTICIPATED IN AND BENEFITED FROM LOBBYING ACTIVITIES CONDUCTED AT THE REGIONAL AND NATIONAL LEVELS FOR THE BENEFIT OF ITS ENROLLED MEMBERS, THE BROADER COMMUNITY AND FOR THE HEALTH CARE INDUSTRY AS A WHOLE. AS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), KFHP MAS HAS A POLICY PROHIBITING ANY OF KFHP MAS' RESOURCES BEING USED IN ANY POLITICAL CAMPAIGNS. THIS POLICY IS CLOSELY MONITORED FOR COMPLIANCE. DURING THE YEAR THIS ORGANIZATION MADE COMMENTS OR STATEMENTS CONCERNING LEGISLATION AND BALLOT INITIATIVES WHICH MAY AFFECT THE HEALTH CARE INDUSTRY. KFHP MAS ENGAGED IN CONVERSATIONS WITH AND/OR WRITTEN COMMUNICATIONS TO VARIOUS FEDERAL, STATE, AND LOCAL OFFICIALS REGARDING MATTERS WHICH AFFECTED THE HEALTHCARE INDUSTRY AS A WHOLE. THE AMOUNT OF MONEY INVOLVED IN THE ACTIVITIES IS DETAILED ON LINES A THROUGH I. KP EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT KFHP MAS' INTERESTS IN VARIOUS LEGISLATIVE AND REGULATORY BODIES AND FROM TIME-TO-TIME TO KEEP INFORMED ABOUT FEDERAL AND STATE LEGISLATION HAVING AN IMPACT ON KP'S CHARITABLE ACTIVITIES AS AN EXEMPT HEALTH MAINTENANCE ORGANIZATION. THESE INDIVIDUALS ATTEMPT TO ENSURE THAT PROPOSED LEGISLATION AND ENACTED LAWS ARE COMPATIBLE WITH THE INTERESTS OF KP, ITS MEMBERS AND ITS PATIENTS BY PERFORMING THE FOLLOWING ACTIVITIES: - COLLECTING, ANALYZING AND DISTRIBUTING WITHIN THE ORGANIZATION, PUBLIC AND PRIVATE POLICY RECOMMENDATIONS REGARDING PROPOSED LEGISLATION THAT AFFECT THE OPERATION OF KFHP MAS AND ITS ABILITY TO PROVIDE QUALITY HEALTH AND MEDICAL CARE SERVICES TO ITS MEMBERS AND THE BROADER COMMUNITY IN A COST EFFECTIVE MANNER. - PROVIDING APPROPRIATE INFORMATIONAL MATERIALS TO LEGISLATORS AND THEIR STAFFS THAT PERTAIN TO MATTERS OF COMMON INTEREST IN THE HEALTH CARE COMMUNITY AND IN THE NOT-FOR-PROFIT COMMUNITY. - PREPARING WRITTEN AND ORAL TESTIMONY, APPEARING AT LEGISLATIVE HEARINGS, MONITORING LEGISLATIVE PROCEEDINGS AND MEETING WITH LEGISLATORS AND/OR THEIR STAFFS REGARDING ISSUES PERTINENT TO THE MISSION OF KFHP MAS. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF KFHP MAS OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF KFHP MAS. OTHER EMPLOYEES AND OFFICERS PERFORM SERVICES BY DELIVERING SPEECHES AT VARIOUS PUBLIC AND PRIVATE FUNCTIONS AND IN SERVING AS FACULTY IN HEALTHCARE RELATED EDUCATIONAL PROGRAMS THROUGHOUT THE COMMUNITY.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$180,496,855	OtherCostOrOtherBasisAmt
Book Value	$180,496,855	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,499,703,355	OtherCostOrOtherBasisAmt
Depreciation	$597,252,497	DepreciationAmt
Book Value	$902,450,858	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$252,282,449	OtherCostOrOtherBasisAmt
Depreciation	$166,981,195	DepreciationAmt
Book Value	$85,301,254	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$342,831,857	OtherCostOrOtherBasisAmt
Depreciation	$221,468,971	DepreciationAmt
Book Value	$121,362,886	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$366,605,266	OtherCostOrOtherBasisAmt
Depreciation	$3,961,860	DepreciationAmt
Book Value	$362,643,406	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,652,255,259	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$169,802,465
OPERATING LEASE ROU ASSETS	$134,730,174
OTHER LONG-TERM ASSETS	$1,500,832
OTHER CURRENT ASSETS	$1,352,386

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$307,385,857	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO AFFILIATED ORGANIZATION	$892,726,020
PROFESSIONAL & OTHER INSURED LIAB.	$203,667,903
OPERATING LEASE LIABILITIES	$123,769,387
SUBORDINATED DEBT	$743,000,000
LONG-TERM DEBT	$133,406,093
OTHER CURRENT LIABILITIES	$197,951,824
OTHER LONG-TERM LIABILITIES	$6,789,919

Field	Value	IRS element (for citing)
Total Liability	$2,301,311,146	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, Line 2	FormAndLineReferenceDesc
Explanation	ASC 740 FOOTNOTE THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (55 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Arlington Free Clinic Inc
2921 11th St South	Arlington	VA	22204	541671883	501(c)(3)	$5,900	Arlington Free Clinic Virtual Benefit Gala And Sil
Associated Catholic Charities Inc
320 Cathedral St	Baltimore	MD	21201	520591538	501(c)(3)	$60,000	Expanded School Mental Health
Baileys Crossroads Health Access
Po Box 8332	Falls Church	VA	22041	300765570	501(c)(3)	$40,000	Turning The Curve For Patients Living With Prediab
Baltimore Community Foundation
11 E Mount Royal Ave	Baltimore	MD	21202	237180620	501(c)(3)	$70,000	Greater Baltimore Social Health Impact Fund
Baltimore Community Lending Inc
875 Hollins St 301	Baltimore	MD	21201	521632468	501(c)(3)	$75,000	Rate Buy-down For Baltimore Business Borrowers For
Bon Secours Of Maryland Foundation Inc
26 N Fulton Ave	Baltimore	MD	21223	521732800	501(c)(3)	$505,000	Future Baltimore Operations Funding
Bread For The City Inc
1525 7th St Nw	Washington	DC	20001	521138207	501(c)(3)	$10,000	Corporate Partnerships Program
Building Bridges Across The River
1901 Mississippi Ave Se	Washington	DC	20020	522013526	501(c)(3)	$32,000	Ward 8 Homebuyers Club
Chase Brexton Health Services Inc
1111 N Charles St	Baltimore	MD	21201	521638592	501(c)(3)	$20,000	Expanded Access To Care And Support Services For L
Childrens National Medical Center
111 Michigan Ave Nw	Washington	DC	20010	521640403	501(c)(3)	$25,000	Flip Rx Patient Navigator & Produce
Community College Of Baltimore County
7200 Sollers Point Rd	Dundalk	MD	21222	203246676	Government	$80,000	Alice Marketing Campaign
Community Foundation For Loudoun & N Fauquier Cts
Po Box 342	Leesburg	VA	20178	541950727	501(c)(3)	$10,000	KP Mini grants Program For Black-led
Community Partnership For The Prevention of Homele
801 Pennsylvania Ave Se	Washington	DC	20003	521681401	501(c)(3)	$85,000	Collaborative Case Coordination For Single Adults
Connected Dmv
1401 N Oak St Ste 904	Arlington	VA	22209	850828769	501(c)(3)	$225,000	Dmv Regional Congress Initiatives
Dreaming Out Loud Inc
80 M St	Washington	DC	20003	261286043	501(c)(3)	$50,000	Black Farm Csa: Building Capacity For Scaling Whol
Enterprise Community Partners Inc
101 Montgomery St	San Francisco	CA	94104	521231931	501(c)(3)	$35,000	Faith-based Development Initiative To Increase Aff
Florence Crittenton Svcs - greater WA
815 Silver Spring Ave	Silver Spring	MD	20910	530196511	501(c)(3)	$7,500	Crittenton's 133 Anniversary Virtual Event
Food & Friends Inc
219 Riggs Rd Ne	Washington	DC	20011	521648941	501(c)(3)	$10,000	Specialized Nutrition Services Medically Tailored
Fund For Educational Excellence Inc
800 N Charles St 400	Baltimore	MD	21201	521129402	501(c)(3)	$80,000	Social-emotional Learning And Well-being For Stude
George Mason University Foundation Inc
4400 University Drms 1a3	Fairfax	VA	22030	541603842	501(c)(3)	$5,500	Chhs Celebrates National Public Health Week
Greater Washington Community
1325 G St Nw 480	Washington	DC	20005	237343119	501(c)(3)	$70,000	Greater Washington Social Health Impact Fund
Greater Washington Urban League
2901 14th Street Nw	Washington	DC	20009	522357941	501(c)(3)	$7,500	2021 Equity In Black & White Summit
Green Scheme Inc
1453 Evarts St Ne	Washington	DC	20018	451698291	501(c)(3)	$50,000	Code Green Summer Program
Habitat For Humanity Metro Maryland
8380 Colesville Rd	Silver Spring	MD	20910	521299516	501(c)(3)	$21,500	Garland Ave Project
Hispanic Scholarship Fund
1411 W 190th St 700	Gardena	CA	90248	521051044	501(c)(3)	$62,500	2021-22 KP/Hsf Partnership, Po - G
Housing Initiative Partnership Inc
6525 Belcrest Rd 555	Hyattsville	MD	20782	521596171	501(c)(3)	$60,000	Purple Line Corridor Renter Education & Counseling
Housing Virginia Campaign Inc
205 N Robinson St	Richmond	VA	23220	200631947	501(c)(3)	$10,000	2021 Virginia Governor's Housing Conference
Impact Silver Spring
8807 Colesville Rd	Silver Spring	MD	20910	522241892	501(c)(3)	$8,000	Sponsorships
Life & Discovery Inc
1306 W Patrick St 5a	Frederick	MD	21703	861140556	501(c)(3)	$150,000	Improving Health Care Access - Integrated Connecti
Loudoun Education Foundation
21000 Education Ct	Ashburn	VA	20148	541603768	501(c)(3)	$15,000	Backpack Coalition Sch Sponsorship
Maryland Association Of Non Profit
1500 Union Ave 2500	Baltimore	MD	21211	521749231	501(c)(3)	$98,500	Greater Riverdale Initiative Cohort
Maryland Family Network Inc
1001 Eastern Ave Fl 2	Baltimore	MD	21202	521486702	501(c)(3)	$42,500	The Power Of Connection: Thrive And Locate Support
Mary's Center For Maternal & Child Care
2333 Ontario Rd NW	Washington	DC	20009	521594116	501(c)(3)	$10,000	Supporting Equity At A Federally Qualified Health
Medical Care For Children Partnership
6699 Springfield Center Dr 303	Springfield	VA	22150	261756738	501(c)(3)	$45,000	Addressing Barriers To Access For Children In Spri
Missions International Inc
7550 Buchanan St	Hyattsville	MD	20784	311645458	501(c)(3)	$17,500	Weekly Pantry Funding
Montgomery County Coalition For Homeless
600b E Gude Dr	Rockville	MD	20850	521735674	501(c)(3)	$10,000	2021 Mcch Safe At Home Campaign And Virtual Gala
Muslim Community Center Medical Clinic
15200 New Hampshire Ave	Silver Spring	MD	20905	521072792	501(c)(3)	$20,000	Community Navigator Project
National Housing Trust Community
1101 30th St Nw 100a	Washington	DC	20007	311539762	501(c)(3)	$40,000	Expanding Affordable Housing Opportunity In The Pu
Parity Baltimore Incorporated
1014 W 36th St Unit 96	Baltimore	MD	21211	850771143	501(c)(3)	$200,000	Parity Development Without Displacement - Home Is
Pathway Homes Inc
10201 Fairfax Blvd 200	Fairfax	VA	22030	541041459	501(c)(3)	$67,300	Housing Is Health - Pathway Homes Homeless Outrea
Piedmont Environmental Council
45 Horner St	Warrenton	VA	20186	540935569	501(c)(3)	$10,000	Connecting The Corridor: Lessons From A Century Of
Sowing Empowerment And Economic
6201 Riverdale Rd 200	Riverdale	MD	20737	522227244	501(c)(3)	$115,000	Headen Spring Development: An Affordable Housing C
The Catoctin Foundation Inc
224a Cornwall St Nw	Leesburg	VA	20176	541921059	501(c)(3)	$20,000	Collaborative Care
The Community Fdn For Northern Virginia
2940 Hunter Mill Rd	Oakton	VA	22124	510232459	501(c)(3)	$42,500	Northern Virginia Social Health Impact Fund
The Foundation For FCPS
8115 Gatehouse Rd 5101	Falls Church	VA	22042	364674229	501(c)(3)	$30,000	Trauma-informed Professional Development
The National Center For Children & Families
6301 Greentree Rd	Bethesda	MD	20817	520591586	501(c)(3)	$10,000	Reclaiming: The Heart Of Community
The Virginia Association Of Health Plans
1111 East Main St 910	Richmond	VA	23219	541335178	501(c)(6)	$18,000	Virginia Association Health Plans
Total Health Care Inc
1501 Division St	Baltimore	MD	21217	237267007	501(c)(3)	$20,000	C2c - Connecting To Communities
Transforming Lives Community Development
6020 Marian Dr	Baltimore	MD	21215	320442788	501(c)(3)	$6,000	Stemcx Tutoring Program
Trinity Washington University
125 Michigan Ave Ne	Washington	DC	20017	530196640	501(c)(3)	$15,320	Kaiser Practitioner Scholars Professional Developm
United Negro College Fund Inc
1805 7th St Nw	Washington	DC	20001	131624241	501(c)(3)	$62,500	KP Uncf Scholars Program, Po - Gran
United Way Of The National Capital Area
1577 Spring Hill Rd 420	Vienna	VA	22182	530234290	501(c)(3)	$30,000	Alice Report For The Washington, Dc Region And The
University Of Maryland Baltimore
620 W Lexington St	Baltimore	MD	21201	311678679	Government	$30,000	School Mental Health Expansion
Virginia Hospital Center Foundation
1701 N George Mason Dr	Arlington	VA	22205	204129901	501(c)(3)	$7,500	Huddle Up! For Your Health Podcast
Wesley Housing Development Corporation
5515 Cherokee Ave 200	Alexandria	VA	22312	510155779	501(c)(3)	$70,000	Bringing Affordable Housing And Healthcare Access

Field	Value	IRS element (for citing)
Total501c3 Org	54	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANTS At the end of their funding cycle, grantees are required to submit a final report which delineates accomplishments related to stated objectives. Larger grants (typically over $100k) may require quarterly progress reports.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (42 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gregory Adams
Chairman & CEO	$0	$1,949,013	$0	$10,590,330	$0	$743,758	$0	$2,248,687	$0	$30,436	$0	$15,562,224	$0	$3,067,941
Arthur Southam
EVP, Health Plan Ops & CGO	$0	$1,196,028	$0	$3,042,244	$0	$526,564	$0	$427,557	$0	$32,012	$0	$5,224,405	$0	$0
Kathryn Lancaster
EVP & Chief Financial Officer	$0	$1,197,032	$0	$2,859,194	$0	$524,128	$0	$430,575	$0	$16,984	$0	$5,027,913	$0	$0
Janet Liang
EVP, Group President & COO	$0	$1,187,802	$0	$2,273,257	$0	$543,354	$0	$900,276	$0	$34,654	$0	$4,939,343	$0	$373,405
Kimberly Horn
EVP, Group President, MOC	$0	$1,048,109	$0	$1,460,250	$0	$743,396	$0	$1,442,280	$0	$30,978	$0	$4,725,013	$0	$502,935
Mark Zemelman
SVP, General Counsel & Secy	$0	$767,516	$0	$1,741,934	$0	$329,088	$0	$96,689	$0	$38,068	$0	$2,973,295	$0	$0
Ruth Williams-Brinkley
Regional President - MAS	$0	$744,872	$0	$1,424,131	$0	$56,149	$0	$383,559	$0	$21,938	$0	$2,630,649	$0	$233,516
Vanessa Benavides
SVP, Chief Legal Officer	$0	$484,886	$0	$712,201	$0	$417,482	$0	$253,358	$0	$18,749	$0	$1,886,676	$0	$273,264
Thomas Meier
SVP, Corporate Treasurer	$0	$545,140	$0	$785,594	$0	$131,103	$0	$271,040	$0	$30,351	$0	$1,763,228	$0	$0
Alfonse Upshaw
SVP,Corporate Controller & CAO	$0	$510,316	$0	$601,573	$0	$38,950	$0	$177,877	$0	$21,486	$0	$1,350,202	$0	$0
Donald Orndoff
SVP, NFS	$0	$469,482	$0	$517,692	$0	$140,506	$0	$68,245	$0	$31,515	$0	$1,227,440	$0	$0
William Wiechmann
Assistant Secretary	$0	$307,468	$0	$210,516	$0	$339,946	$0	$125,024	$0	$28,529	$0	$1,011,483	$0	$271,687
Heidi Veltman
VP, COO - GA	$0	$363,302	$0	$130,728	$0	$241,480	$0	$205,356	$0	$38,030	$0	$978,896	$0	$0
Frank Titus
SVP, Group Operations	$0	$388,918	$0	$285,065	$0	$36,871	$0	$159,959	$0	$24,824	$0	$895,637	$0	$0
Lawrence Hamilton
VP, COO - MAS	$0	$426,596	$0	$162,108	$0	$77,146	$0	$140,826	$0	$27,464	$0	$834,140	$0	$0
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy	$0	$285,025	$0	$147,406	$0	$108,681	$0	$170,997	$0	$27,388	$0	$739,497	$0	$69,146
Ryan Jenson
Interim Corp Controller & CAO	$0	$299,001	$0	$197,139	$0	$110,554	$0	$98,471	$0	$27,494	$0	$732,659	$0	$66,215
Cynthia Cifuentes-Finkel
VP, Mktg Comm & Cmty Relations	$0	$252,151	$0	$111,876	$0	$165,057	$0	$120,360	$0	$27,781	$0	$677,225	$0	$0
Machelle Behzadi
VP, Quality, Service & CNE	$0	$306,786	$0	$119,972	$0	$31,079	$0	$178,391	$0	$31,752	$0	$667,980	$0	$0
Wayne Wilson
VP, Govt Prgms & Ext Relations	$0	$22,576	$0	$60,329	$0	$573,619	$0	$1,281	$0	$1,546	$0	$659,351	$0	$130,115
Robert Ricketts
VP, CFO - MAS	$0	$267,659	$0	$173,323	$0	$28,636	$0	$96,513	$0	$25,190	$0	$591,321	$0	$0
Joan Gelrud
SVP, Hlth Plan & Hosp Quality	$0	$0	$0	$56,978	$0	$483,729	$0	$7,912	$0	$0	$0	$548,619	$0	$0
Kristin Bear
Assistant Secretary	$0	$235,103	$0	$151,767	$0	$41,709	$0	$89,342	$0	$20,497	$0	$538,418	$0	$0
Delinda Washington
VP, Human Resources - MAS	$0	$38,945	$0	$220,372	$0	$212,645	$0	$20,902	$0	$5,109	$0	$497,973	$0	$207,920
Mark Ruszczyk
VP, MSBD - MAS	$0	$25,900	$0	$0	$0	$458,429	$0	$3,904	$0	$2,275	$0	$490,508	$0	$152,833
Gracelyn McDermott
VP, MSBD - MAS	$84,952	$209,320	$31,975	$0	$32,651	$10,458	$4,925	$79,062	$11,556	$16,326	$166,059	$315,166	$0	$0
Bernice Gould
Assistant Secretary	$0	$219,155	$0	$35,438	$0	$2,345	$0	$93,938	$0	$10,820	$0	$361,696	$0	$0
Maryann Bodayle
Assistant Secretary	$0	$170,274	$0	$18,502	$0	$2,234	$0	$44,738	$0	$10,462	$0	$246,210	$0	$0
Rochelle Roth
Assistant Secretary	$0	$195,497	$0	$35,129	$0	$2,163	$0	-$15,908	$0	$18,998	$0	$235,879	$0	$0
Ramon F Baez
Director	$0	$223,552	$0	$0	$0	$13,707	$0	-$12,291	$0	$0	$0	$224,968	$0	$0
Matthew T Ryan
Director	$0	$207,000	$0	$0	$0	$13,855	$0	$0	$0	$0	$0	$220,855	$0	$0
Margaret E Porfido JD
Director	$11,000	$246,500	$0	$0	$0	$21,577	$0	-$62,832	$0	$0	$11,000	$205,245	$0	$0
Leslie S Heisz
Director	$0	$214,500	$0	$0	$0	$18,928	$0	-$17,324	$0	$0	$0	$216,104	$0	$0
Judith A Johansen JD
Director	$0	$267,600	$0	$0	$0	$9,870	$0	-$61,490	$0	$0	$0	$215,980	$0	$0
Jeffrey E Epstein
Director	$0	$222,000	$0	$0	$0	$8,934	$0	-$16,869	$0	$0	$0	$214,065	$0	$0
Richard P Shannon MD
Director	$0	$210,000	$0	$0	$0	$0	$0	$3,503	$0	$0	$0	$213,503	$0	$0
David F Hoffmeister
Director	$0	$216,500	$0	$0	$0	$13,707	$0	-$18,455	$0	$0	$0	$211,752	$0	$0
A Eugene Washington MD
Director	$0	$205,500	$0	$0	$0	$0	$0	$1,267	$0	$0	$0	$206,767	$0	$0
David J Barger
Director	$0	$199,500	$0	$0	$0	$0	$0	-$357	$0	$0	$0	$199,143	$0	$0
Regina M Benjamin MD MBA
Director	$0	$187,500	$0	$0	$0	$8,638	$0	-$16,773	$0	$0	$0	$179,365	$0	$0
Edward YW Pei
Director	$0	$0	$0	$0	$0	$56,844	$0	$0	$0	$0	$0	$56,844	$0	$46,316
Kim J Kaiser
Director	$0	$25,400	$0	$0	$0	$14,004	$0	$0	$0	$0	$0	$39,404	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	METHODS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION.
SCHEDULE J, PART I, LINE 4a	SEVERANCE PAYMENTS: Wayne Wilson $ 439,263 Joan Gelrud 464,724 Mark Ruszczyk 303,777 LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO SEVERANCE BENEFITS IN THE EVENT OF TERMINATION BY THE ORGANIZATION WITHOUT CAUSE OR DUE TO JOB ELIMINATION. DEPENDING ON POSITION LEVEL, TENURE, AND TERMINATION REASON, SEVERANCE BENEFITS PAYABLE UNDER THESE ARRANGEMENTS PROVIDE FOR PAY AND HEALTH BENEFITS CONTINUATION PLUS PAYMENT OF ACCRUED OBLIGATIONS. IN ADDITION, FOR SOME OF THE LISTED PERSONS, SEVERANCE BENEFITS PAYABLE INCLUDE PRORATED INCENTIVE AWARDS FOR PERFORMANCE PERIODS NOT YET ENDED. NONE OF THE LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO CHANGE-OF-CONTROL PAYMENTS. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT Gregory Adams $ 637,715 Arthur Southam 467,059 Kathryn Lancaster 464,623 Janet Liang 496,329 Kimberly Horn 313,188 Mark Zemelman 272,737 Vanessa Benavides 367,762 Thomas Meier 86,733 Donald Orndoff 106,741 William Wiechmann 320,687 Hong-Sze Yu 91,157 Ryan Jenson 89,323 Wayne Wilson 130,115 Mark Ruszczyk 59,616 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. UNVESTED AMOUNTS ARE SUBJECT TO RISK OF FORFEITURE.
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS THE ORGANIZATION PROVIDED NON-FIXED PAYMENTS TO SOME OF THE PERSONS LISTED. PAYMENTS WERE MADE UNDER DISCRETIONARY BONUS PROGRAMS AND INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS.
SCHEDULE J, PART II, COLUMN F	AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.
SCHEDULE J, PART II, COLUMN C	THE ACTUARIAL VALUE FOR SOME INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2021, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES. CERTAIN BOARD MEMBERS ARE ELIGIBLE FOR A RETIREE MEDICAL BENEFIT FOLLOWING RETIREMENT FROM THE BOARD. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a	- Voting Member and Governing Body - THE EXECUTIVE COMMITTEE, COMPOSED OF THE DIRECTORS THAT ARE THE CHAIRS OF THE BOARD'S OTHER STANDING COMMITTEES, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: A. FILL VACANCIES ON THE BOARD OR THE COMMITTEE; B. FIX THE COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ANY COMMITTEE; C. ADOPT, AMEND OR REPEAL BYLAWS; D. AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS CANNOT BE AMENDED OR REPEALED BY THE EXECUTIVE COMMITTEE; E. APPOINT COMMITTEES OF THE BOARD OR APPOINT THE MEMBERS THEREOF; OR F. APPROVE ANY ASPECT OF A TRANSACTION INVOLVING THE COMPANY WHEN A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IN THAT TRANSACTION, EXCEPT AS EXPRESSLY PROVIDED BY THE LAW. Form 990, Part VI, Line 2 - Family or Business Relationships - Board member Eugene Washington, MD and Richard Shannon, MD have a business relationship. Board member Jeff Epstein and Jenny Ming have a business relationship.
FORM 990, PART VI, LINE 6	KAISER FOUNDATION HEALTH PLAN, INC. IS THE SOLE MEMBER.
FORM 990, PART VI, LINE 7A	- APPOINTMENT OF GOVERNING BODY - KAISER FOUNDATION HEALTH PLAN, INC. APPOINTS THE DIRECTORS (AND FILLS VACANCIES AND HAS AUTHORITY TO REMOVE DIRECTORS). THE SAME INDIVIDUALS WHO COMPRISE THE BOARD OF DIRECTORS OF KFHP ALSO SERVE AS THE DIRECTORS OF KFHP COLORADO, NORTHWEST, MID-ATLANTIC STATES, AND KFHPW HOLDINGS.
FORM 990, PART VI, LINE 7B	- APPROVAL OF CERTAIN GOVERNANCE DECISIONS - THE FOLLOWING ACTIONS OF THE CORPORATION REQUIRE APPROVAL OF THE SOLE MEMBER: A) REMOVAL OF THE CHAIRMAN OF THE BOARD OR THE PRESIDENT, THE GROUP PRESIDENT OR REGIONAL PRESIDENT; B) AMENDMENTS TO ARTICLES C (MEMBER), D (DIRECTORS) AND H (AMENDMENT AND EFFECT OF BYLAWS) OF THE BYLAWS MAY BE AMENDED ONLY BY THE MEMBER; C) AMENDMENT OF THE ARTICLES OF INCORPORATION.
Form 990, Part VI, Line 11B	- FORM 990 REVIEW PROCESS - 1. KEY INFORMATION NECESSARY FOR THE PREPARATION OF THE TAX RETURN IS OBTAINED AND/OR CONFIRMED WITH INTERNAL SOURCES INCLUDING REGIONAL FINANCE, EXECUTIVE COMPENSATION, COMMUNITY BENEFITS, TREASURY, GOVERNMENT RELATIONS, AND LEGAL. 2. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY AN EXTERNAL TAX ADVISOR. 3. ONCE SIGNED BY AN EXTERNAL TAX ADVISOR, THE RETURN AND UNDERLYING DATA ARE REVIEWED BY AN OFFICER OR A MEMBER OF MANAGEMENT DESIGNATED BY AN OFFICER FOR SIGNATURE AND FILING. 4. COPIES ARE THEN PROVIDED TO BOARD MEMBERS PRIOR TO FILING.
Form 990, Part VI, Line 12C	Ethics and Compliance Ongoing Monitoring and Enforcement Activities Kaiser Permanente regularly and consistently monitors and enforces compliance with the Conflicts of Interest policy in the following ways: Reporting Conflicts of Interest Concerns - The Kaiser Permanente Ethics and Compliance Hotline or Webline is available to all employees, vendors, contractors, and agents to anonymously report actual or perceived conflicts of interest. This process is managed by a third party; however, all reported allegations are provided to Ethics and Compliance for investigation, and if required, corrective action. Employees are prohibited from retaliating against or intimidating anyone who reports concerns in good faith or refuse to participate in wrongdoing. Annual Disclosure Process - Annually, Directors, Officers, Key Employees, Executives, and other employees in roles with elevated risk are required to complete a Conflicts of Interest Disclosure (COID). Responses are reviewed by Ethics and Compliance, Board Services, and / or the Governance, Accountability and Nominating Committee of the Kaiser Foundation Health Plan/Hospital Board of Directors. When actions are required, they are addressed in accordance with policies and written standards. Conflicts of interest responses and actions are maintained for tracking and reporting purposes. Ongoing Disclosure Process - In addition to the annual disclosure process and in accordance with the Conflicts of Interest policy, on an ongoing basis Ethics and Compliance receives, consults, and reports conflicts of interest matters. External Audit Review of Disclosures - Annually, as a part of the Kaiser Permanente external audit, an outside certified public accounting firm reviews the COID process and actions taken for Directors, Officers, Key Employees, and Executives. The results, inclusive of any findings, are presented to the Kaiser Foundation Health Plan/ Hospital Audit and Compliance Committee of the Board of Directors. Awareness and Enforcement - Kaiser Permanente adheres to the following general awareness and enforcement guidelines: - Annually, the Conflicts of Interest and Corrective / Disciplinary Action policies are provided and reviewed as a part of the general ethics and compliance training. - Represented employees are subject to corrective/disciplinary action provisions outlined in the regional or national collective bargaining agreements and applicable policies. - In the event disciplinary action is required due to failure to comply with applicable legal and regulatory requirements, Kaiser Permanente policies and procedures, the Code of Conduct (Principles of Responsibility), unsatisfactory performance, or misconduct disciplinary action includes, but is not limited to: * verbal discussion, coaching, and/or warning by the employee's immediate; supervisor or higher-level manager to correct the problem; * written notice, with or without final warning; * suspension, with or without final warning; or * termination of employment
Form 990, Part VI, Line 15A/B	COMPENSATION DETERMINATION THE EXECUTIVE COMPENSATION PROGRAM AS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. IS DESIGNED TO RECRUIT, RETAIN AND MOTIVATE QUALIFIED SENIOR MANAGEMENT PERSONNEL. SENIOR MANAGEMENT PERSONNEL HAVE A SIGNIFICANT IMPACT ON THE STRATEGIC AND POLICY DIRECTION AND RESULTS OF THE ORGANIZATION. THEREFORE, THE EXECUTIVE COMPENSATION PROGRAM IS, TO A SIGNIFICANT DEGREE, PERFORMANCE-BASED. THE COMPENSATION PROGRAM IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. BASE PAY FOR EXECUTIVE POSITIONS IS ESTABLISHED AT A LEVEL COMPARABLE TO THE RELEVANT MARKET. IN ADDITION, OTHER COMPONENTS OF THE COMPENSATION PROGRAM BEAR 'AT-RISK' FEATURES DESIGNED TO FOCUS ON STRATEGICALLY IMPORTANT PERFORMANCE GOALS AND TO ASSIST IN ATTRACTING AND RETAINING TOP PERFORMERS. THE EXECUTIVE COMPENSATION PROGRAM IS TARGETED TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMED BY AN INDEPENDENT COMPENSATION, BENEFITS & HUMAN RESOURCES CONSULTING FIRM. THE COMPENSATION PROGRAM FOCUSES ON OBJECTIVES IN THE AREAS OF QUALITY OF MEMBER CARE AND SERVICE, MEMBERSHIP GROWTH, FINANCIAL SOUNDNESS, AND THE COMMUNITY AND SOCIAL MISSION OF THE ORGANIZATION.
Form 990, Part VI, Line 18	Forms 990 are available on www.guidestar.org.
Form 990, Part VI, Line 19	- Public Inspection - Governing documents, conflict of interest policy are available upon request as disclosed to other regulatory bodies. Financial Statements are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with Independent Auditors' Report. To request copies contact: National Communications - RM Operations Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 18th Floor Oakland, CA 94612
Form 990, Part VII, Section A, Column B	HOURS FOR RELATED ORGANIZATIONS INDIVIDUALS WHO ARE BOTH OFFICERS AND MEMBERS OF BOARDS OF DIRECTORS WORK FULL TIME AS EMPLOYEES AS WELL AS FULFILL THEIR BOARD ASSIGNMENT. ALL OFFICERS WORK FULL TIME IN THEIR EMPLOYEE CAPACITY. FULL TIME WORK MAY REQUIRE IN EXCESS OF THE TRADITIONAL 40 HOUR WEEK. GIVEN THE INTEGRATED NATURE OF OUR ORGANIZATION, EMPLOYEES MAY PROVIDE SUPPORT FOR VARIOUS KAISER PERMANENTE COMPANIES. THE AVERAGE HOURS PER WEEK REPORTED FOR THE FILING ORGANIZATION AND RELATED ORGANIZATIONS WAS ESTIMATED.
Form 990, Part XI, Line 9	- Other changes in net assets or fund balances - CHANGE IN PENSION AND OTHER RETIREMENT LIABILITIES $ 310,777,551 OTHER THAN TEMPORARY IMPAIRMENTS (1,929,316) GAIN/LOSS ON SALE OF INVESTMENTS - BOOK 111,757 GAIN/LOSS ON SALE OF INVESTMENTS - TAX 26,078 --------------- TOTAL $ 308,986,070
FORM 990, PART III, LINE 4A-4D	- EXEMPT PURPOSE ACHEIVEMENTS - I. Introduction A. About Kaiser Permanente Founded in 1945, Kaiser Permanente is recognized as one of America's leading health care providers and nonprofit health plans. We were created to meet the challenge of providing American workers with medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Since our beginnings, we have been committed to helping shape the future of healthcare. Kaiser Permanente has influenced U.S. health care through its innovations in these areas: - Prepaid health plans, which spread the cost to make it more affordable - A focus on preventing illness and disease as much as on caring for the sick - An organized, coordinated system that puts as many services as possible under one roof-all connected by an electronic medical record Kaiser Permanente has been committed to shaping the future of health and health care - and helping our members, patients, and communities experience more healthy years. We are recognized as one of America's leading health care providers and not-for-profit health plans. Since 1945, Kaiser Permanente's mission has been to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 12.5 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. B. Kaiser Permanente's Approach to Community Health At Kaiser Permanente, we recognize that where we live and how we live has a big impact on our health and well-being. Our work is driven by our mission: to provide high-quality, affordable health care services and to improve the health of our members and our communities. It's also driven by our heritage of prevention and health promotion, and by our conviction that good health is a fundamental right. To be our healthiest we need more than high-quality medical care - we need to improve the conditions for health and equity in the communities we serve. What does that mean? It means addressing all the factors that affect health, such as having a safe place to live, enough money to pay the bills, access to healthy meals, and meaningful social connections. Kaiser Permanente is accelerating efforts to broaden the scope of our work - and ultimately create healthier, more equitable communities for all. Through our continued focus on expanding our community health approach, however, we laid the foundation for an acceleration of work to meet the challenges posed by the public health crises we now face. We dedicated ourselves to improving the social health of our 12.5 million members and the communities we serve. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $2.6 billion in 2021 to improve the health of our communities. The amounts attributable to Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. is $169.8 million as follows: - Financial Assistance at cost - $82.6 million - Medicaid - $37 million - Costs of other means-tested government programs - $35.2 million - Community health improvement services and community benefit operations - $6.6 million - Health Professions Education - $2.3 million - Research - $3.2 million - Cash and in-kind contributions from community benefit - $2.9 million In addition to our direct spend, we also leverage assets from across Kaiser Permanente to help us achieve our mission to improve the health of communities. This "Total Health" strategy includes our widely recognized activities around supplier diversity, socially responsible investing and environmental stewardship.
II.Health Access	Ensuring health access means serving those most in need of health care through Medicaid, medical financial assistance, charitable health coverage, and other forms of subsidized care and coverage. It also means connecting people with wrap-around social services, healthy meals, affordable homes, safe playgrounds, and supportive schools. For many low-income people without access to health care coverage, or for those who lose their jobs and can't maintain health care coverage, an emergency room is often the only place they receive care. At Kaiser Permanente, we're working to change that with programs that lower financial barriers by providing deeply subsidized health coverage and medical financial assistance for care. We also provide information about how to access and qualify for public programs such as Medicaid and financial assistance through the marketplace to individuals who may be eligible. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. supports the health access needs of our communities through a combination of coverage and care programs. We provide coverage to low-income populations through our participation in government programs like Medicaid and the Children's Health Insurance Programs (CHIP) and via our own Charitable Health Coverage (CHC) program, which provides a premium subsidy for Kaiser Permanente coverage for qualified low-income families and children who do not have access to public or private health coverage. Similarly, we provide care to low-income populations through two key vehicles: first, via our treatment of Medicaid and CHIP enrollees, and second, via the Medical Financial Assistance (MFA) program, which is Kaiser Permanente's traditional charity care or financial assistance program (FAP). For Kaiser Foundation Health Plan, Inc. and all of its subsidiary health plans, the main way to address health access challenges is by absorbing the cost of the coverage and care programs described above. A. Coverage Having health coverage means consistent access to comprehensive and continuous medical and preventative services for people to get and stay healthy, a much better alternative to episodic care at emergency departments. Coverage is good for the patient, good for Kaiser Permanente and good for the US overall because it helps people get and stay healthy and avoid costly hospital services. i. Coverage provided through Medicaid, CHIP and other government programs The Affordable Care Act has had a far-reaching impact on the landscape of government-sponsored programs, as these options have become a key source of health coverage for a significant portion of the US population. Kaiser Permanente has responded to this challenge by developing organizational strategies to enable low-income individuals to obtain and/or retain health coverage through Medicaid, CHIP or other government programs, even as their personal or financial circumstances may be changing. At the end of 2021, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. was providing coverage to a total of 154,000 people through these government programs. ii. Coverage provided through CHC CHC is a unique approach to caring for low-income uninsured persons in the community. The program provides a premium subsidy for a KFHP off exchange plan to low-income individuals and families who are not eligible for other public or privately sponsored coverage. Eligible participants receive a regular KFHP membership card and have access to the same services and providers as other KFHP individual and family plan members. CHC members also receive cost sharing support that eliminates out of pocket costs for most covered services provided at Kaiser Permanente facilities. CHC provides individuals/families who would otherwise not have access to coverage, consistent access through the "front door" of the health delivery system, including a medical home and preventive services, better alternatives than episodic care. At the end of 2021, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. was providing coverage to approximately 9,000 people through the CHC program. B. Care To get and/or stay healthy, people need access to high quality care by providers they trust. This care must include preventative services and required medications so that people can avoid ending up in the emergency room or requiring more extensive services down the line. Kaiser Permanente helps low income populations gain access to this type of care by leveraging the full scope of its integrated delivery system, including not only critical hospital-based services but also outpatient primary, specialty and pharmacy services. i. Care provided through Medicaid, CHIP and other government programs Kaiser Permanente provides a wide range of health care services to individuals enrolled in Medicaid, CHIP and other government programs, regardless of whether they are assigned to Kaiser Permanente or not. In addition to the individuals who received health coverage in 2021 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also subsidized care to people who are enrolled in these programs but not formally assigned to Kaiser Foundation Health Plan. ii. Care subsidized by MFA Medical Financial Assistance program (MFA) helps low-income, uninsured, and underinsured patients receive access to care. The program provides temporary financial assistance or free care to patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. Eligibility is based on financial need. In general, patients whose household income is at or below 200 percent, and in some regions up to 400 percent, of the federal poverty guidelines are eligible for the MFA program. Patients who are experiencing high medical expenses as compared to their income may be eligible under high medical expenses criteria, regardless of household income. The MFA program covers emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities (i.e. hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. Over the course of 2021, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. subsidized care for a total of 79,000 people through the MFA program. C. Safety-Net Partnerships Safety net providers are a mix of public hospitals, community-based organizations such as federally qualified health centers, and other health care organizations. Safety-net health care providers have a legal mandate or explicit mission to provide care for patients who have low incomes and/or are uninsured regardless of their ability to pay. In Kaiser Permanente service areas, federally qualified health centers serve the uninsured, Medicaid, and other vulnerable populations. In addition to working families, children, the elderly, and the disabled, health centers serve students, homeless people, people living in public housing, agricultural workers, and veterans. Strengthening the safety net advances our mission to improve the health of the communities we serve as well as our equity agenda. Our communities' most vulnerable populations, including a disproportionate number of low-income people of color, rely on the safety net for their health care needs. Our support ensures that communities have access to a strong safety net that can equitably meet patients' needs and improve health outcomes. As we continue to confront COVID-19, ensuring that low-income patients and people experiencing homelessness continue to have access to high-quality health care is more important than ever. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. supported organizations to strengthen safety net capacity to increase health care coverage and access pathways, including development of new programs or expanding existing programs. Supporting safety net capacity is critical in assisting underserved, vulnerable patients with navigating the complex process of obtaining health coverage. Support also includes providing comprehensive and integrated social care for community members that have been challenged by COVID-19. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also supported the Culmore Clinic which is an interfaith healthcare clinic serving low-income, uninsured adults in the Bailey's Crossroads/Culmore communities of Northern Virginia. Program support will include starting a diabetes prevention pilot program for low-income, uninsured, immigrant residents. The initial pilot would receive intensive case management, connection to social health resources and lifestyle management training.
III.Social Health	Healthy individuals need healthy communities, and healthy communities need healthy people to thrive. At Kaiser Permanente, we are working to improve the conditions for health and equity in communities by addressing the root causes of health, such as healthy food, economic opportunity, affordable housing, and safe and supportive schools. We screen patients for social factors influencing their health and connect them to resources when needed - both community-based programs and Kaiser Permanente-funded initiatives. These improvements grow from our collaboration with each community to co-design and co-create solutions that truly make a positive impact. By engaging members, communities, our sizeable workforce, and all of our organization's considerable assets, we are working to create communities that are among the healthiest in the nation, and inspiring greater health for America and the world. A. Economic Opportunity Inclusive economic growth is critical to both individual and community health. When there is a lack of economic opportunity in communities, the prospects for upward social mobility are diminished, often resulting in poorer health and higher mortality rates for people living in those communities. By contrast, economic growth and opportunity provides individuals with jobs, income, a sense of purpose, and opportunities to improve their economic circumstances overtime. As a large, influential institution in our communities, Kaiser Permanente also recognizes that the way we do business can support economic opportunity in local communities through how we hire, purchase, build our facilities and partner with communities. Some ways that we're helping revitalize and grow our communities by strengthening economic opportunity include: - Providing good jobs to individuals facing barriers to employment through high-impact hiring and workforce pipeline efforts. - Pursuing a social impact investment strategy to support impact investments aimed at addressing key social issues that have a significant impact on health. - Purchasing goods and services from local minority- and women-owned businesses and encouraging good employment practices by our vendor partners. - Building new facilities with an emphasis on positive local community impact, including local construction hiring, local and diverse purchasing, healthy and sustainable design features, neighborhood revitalization, and deep community engagement. - Partnering with community organizations to grow local business capacity, increase access to good jobs, and support stable, quality, affordable housing. Kaiser Permanente is also deepening its efforts to get at the heart of inequities, addressing systemic racism, breaking cycles of trauma, and creating economic opportunities for communities that have endured decades of underinvestment. We are working with communities striving to overcome systemic and structural economic disadvantage and supporting the resiliency of businesses owned by Black and other historically underrepresented individuals. We recognize that it will require sustained efforts to increase access to business capital and build capacity for growth. Success for these communities requires intentional, long-term investment, and ongoing work to dismantle racist systems that create barriers to success. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also provided funding of $75,000 Baltimore Community Lending, Inc. which support the revitalization and strengthening of Baltimore City neighborhoods through innovative and flexible financial assistance. Baltimore Community Lending, Inc. will implement an innovative small business loan program designed around the primary barriers to credit for small businesses in Baltimore City, especially minority and women-owned businesses. The Rate Buy-Down for Baltimore Business Borrowers project buys down the rate by 2% on these small business loans, making business credit more affordable and more accessible to those who cannot meet the qualifications for traditional credit. B. Housing for Health Without a safe place to call home, it's nearly impossible to focus on basic health and medical needs. Kaiser Permanente is leading efforts to end homelessness and preserve affordable housing by making strategic impact investments, shaping policy, and catalyzing innovative partnerships. The COVID-19 pandemic had a significant impact on social health needs in our communities, and people experiencing homelessness or housing insecurity were among the most vulnerable. Even in the absence of COVID-19, people experiencing homelessness face a higher risk of death than housed populations. Increasing affordable housing preserves homes that improve total health and lift residents socially and economically. Nationwide, people of color are disproportionately impacted by homelessness and housing insecurity, further exacerbated by COVID-19. The health crisis and economic fallout from the pandemic have hit low-income and communities of color hardest and threaten to widen the health equity gap in our country even further. Kaiser Permanente cannot solve the affordable housing and homelessness crisis alone. Only through innovative partnerships, strategic investments, and impactful storytelling can we move the needle for our most vulnerable communities. Kaiser Permanente will continue to drive national housing for health initiatives that create more healthy years for all. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with Community Solutions International, Inc. to help accelerate efforts to end chronic homelessness in communities within Kaiser Permanente's national footprint. Our partnership with Community Solutions includes supporting their capacity and ability to successfully conduct Built for Zero work in Kaiser Permanente communities. It also supports building the evidence base for validating the Built for Zero methodology and creating other models to help communities achieve quality data, an essential piece of the Built for Zero process. New proof points and shared learning around Built for Zero's success will help build out a roadmap to help any community reduce and end homelessness. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. provided funding of $200,000 to Parity Baltimore Incorporated, an organization who acquires and renovates abandoned buildings to create affordable homeownership opportunities. Funding will support the organization to turn abandoned buildings into affordable homeownership opportunities, while also providing anti-displacement and aging-in-place services to elders and legacy residents. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also partnered with the Community Partnership for the Prevention of Homelessness, whose efforts include reducing and ultimately preventing homelessness in the District of Columbia. The goal of this partnership will be to support Collaborative Case Coordination for Single Adults in the Metropolitan Washington Council of Governments (MWCOG) Homelessness Committee's Regional Triad Group in order to develop a system of coordinated access to housing resources for single adults across Washington, DC, Montgomery County, MD, and Prince George's County, MD. The project will build from a pilot project focused solely on Veterans experiencing homelessness.
C.Thriving Schools	At Kaiser Permanente, we're committed to not only delivering great health care but also creating communities where people can be healthy in all the places they live, learn, work, and play. Thriving Schools brings together Kaiser Permanente's extensive health care expertise and our partnerships with nationally recognized and trusted organizations working to support schools in becoming a beacon of health in their community. Thriving Schools takes an integrated approach to school health, curating the best thinking and guidance on how to keep students, staff, teachers, and families healthy across four dimensions of health: physical health, mental health, social health, and equity and access. Taking an integrated approach to health means supporting schools and districts in advancing their wellness and educational goals by incorporating health-related strategies into school and district improvement efforts. Like the communities in which they sit, schools often reflect a diversity of cultures, beliefs, and experiences. As such, the services and opportunities they provide must ensure that all students and staff are given the opportunity to reach their full potential. Thriving Schools' integrated approach explicitly addresses equity and inclusion, both in the assessment tools we use and in the resources we offer for school staff and district leaders. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with the Alliance for Healthier Generation to advance the RISE (Resilience in School Environments) initiative, an enterprise-wide effort. RISE is designed to empower schools and districts to create safe and supportive learning environments by cultivating practices that strengthen the social and emotional health of all students and school staff. RISE is the first national initiative of its kind specifically designed for schools and districts to improve safety, connectedness, and relationships among students and staff; increase skills related to social and emotional learning for students and staff; increase mental health supports; and increase job satisfaction, including reducing staff member stress. D. Thrive Local Social determinants of health -- the conditions in which people live, learn, work, and play - affect a wide range of health risks and outcomes. Access to quality health care is critical, but social factors, such as lack of safe housing and transportation, inadequate education or job opportunities, and poor access to good nutrition and physical activity, inevitably create barriers to health and wellbeing. While many social resources may exist in a community, they are often unknown to those most in need and disconnected from one another even when serving the same client, creating confusion and exacerbating stress for community members. Through the Thrive Local initiative, launched in late 2019, Kaiser Permanente is establishing bi-directional electronic community networks in every Kaiser Permanente service area. The networks enable health care providers, safety net clinics, social service agencies, government programs, and other participants to make, receive, and track patient and client referrals. Health care providers can refer patients to organizations that address social factors affecting their health, and social service providers can coordinate effectively among themselves to improve community-wide care delivery. Data aggregated through the network technology provides a robust source of information on local social needs and service gaps to drive collaborative community planning. Kaiser Permanente's Thrive Local contributions in 2021 facilitated growth of these community networks by funding community-based organizations to invest in change management, technology, or staffing to assist them in joining the network, as well as "anchor" social service organizations that participated in outreach to build the networks, ensuring they reflect the needs of their respective communities. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. awarded community-based organizations $200,000 to assist community partners to join the community network and to serve as a "champion" to support outreach and on-boarding of local social service providers. These organizations will address a variety of needs including, housing insecurity and homelessness; health and behavioral health; child, youth, family, and senior services; nutrition and food insecurity; financial support and employment; and domestic and interpersonal violence. Funds will be used to provide much needed services to under-served communities and will include working in partnership with local employers, educators, government and community organizations. This effort will facilitate participation of key social service providers in the community networks. E. Food for Life Food for Life is Kaiser Permanente's comprehensive approach to transforming the economic, social, and policy environments connected to food so that people across the nation have access to, and can afford, healthy food. It includes increasing individual and family purchasing power; providing enhanced nutrition to vulnerable and sick members; improving access to community resources; and advancing local and national food security efforts through research, policy advocacy, thought leadership and community support. Kaiser Permanente recognizes that solving for food security goes beyond just giving people food. People's attitudes toward food, the economic tradeoffs they must make, the stigma around food assistance, and social and culture dimensions all play an important role. Food insecurity is linked to a variety of adverse health outcomes, including poor chronic disease management, developmental and mental health problems, increased hospitalizations, and higher costs of care. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. supported Green Scheme, an organization that provides leadership, education, training, and awareness on a wide variety of environmental topics from healthy living to green career pathways. The Code Green Summer Program will provide camp participants with health/gardening education and access to healthy meals for a six-week Code Green summer program. The goal of this summer program is to promote healthy eating habits, educate youth on agricultural processes and the effects of healthy diets, and provide access to healthy food options. This program is targeted for youth who reside in the Lincoln Heights and Woodland Terrace communities. Both communities are D.C. Housing Authority sites with numerous community health and public safety challenges located in Washington, D.C.'s wards 7 and 8. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with Dreaming Out Loud, Inc., to create economic opportunity for marginalized communities through building a healthy, equitable food system in the Washington, DC metropolitan region. Dreaming Out Loud, Inc. rebuilds urban, community-based food systems through cooperative social enterprise: increasing access to healthy food, improving community health, supporting entrepreneurs and cooperatives from low-income communities; and creating opportunities for at-risk residents to earn sustainable, family-supporting wages and build wealth. This partnership will help to develop new market opportunities for regional and urban socially disadvantaged farmers via wholesale and retail produce distribution, achieved by building relationships with other nonprofits, institutions, and other food businesses.
IV.Policy and Systems	A. Thriving Cities The places where we live, learn, work, and play - our cities and towns, our schools, our homes, our neighborhoods - have an enormous impact on our health. And how we shape those places, through public policy and the support for healthy environments, has the potential to make real, lasting impacts on our surroundings and our everyday quality of life. Through Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.'s ongoing partnerships with community organizations, municipal leaders, and public health champions, we are working to incorporate health, equity and sustainability considerations into public policy and the built environment in ways that influence how neighborhoods take shape and grow. In 2018, we joined forces with the de Beaumont Foundation, a leader in public health philanthropy, to help U.S. cities thrive through the CityHealth initiative. Created by the de Beaumont Foundation to promote practices that make cities healthier, CityHealth tracks and reports on proven policies, and works with cities to advance policies that achieve community health priorities. Through this relationship, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. will leverage its deep expertise in health policy, government relations, and community-based prevention to accelerate cities' efforts to improve people's health and quality of life. For Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., this partnership complements the organization's established approach to community health - bringing together health leaders, clinicians and community partners to help solve the social, economic and environmental health challenges facing the who live in the communities it serves. Policy menu includes: earned sick leave, high-quality accessible pre-Kindergarten, affordable housing/inclusionary zoning, complete streets, safer alcohol sales, Tobacco 21, smoke-free indoor air, food safety and restaurant inspection rating, healthy food procurement. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also supported efforts to partner with the Vose River Charitable Fund, which is an organization that develops tools and collaborates with other nonprofit organizations and government health departments to support effective policies and the public health workforce. Our partnership with Vose River Charitable Fund will ensure the CityHealth initiative has sufficient staffing and consultants, policy-specific technical assistance, policy assessment research and communications support. Funding will also support a new policy menu and greater reach among cities in Kaiser Permanente's footprint. B. Environmental Stewardship At Kaiser Permanente, we believe it is our obligation as a health care provider to minimize our environmental impact. We work to be environmentally responsible throughout our organization - in how we power our facilities, purchase food and medical supplies and equipment, manage waste, and invest in our communities. We also prioritize partnerships with others to develop policies and systems that strengthen community health and protect our environment. Our mission to improve the total health of our members and the communities we serve compels us to take bold steps to reduce our impact on the climate and increase understanding of the connection between climate and health. We know one way to improve the health of the communities we serve is by improving their environmental conditions. In 2020, we became the first U.S. health system to become carbon neutral as an organization, completing the "last mile" toward this milestone through investment in carefully chosen carbon offset projects. By eliminating our carbon footprint, we have taken measurable action to improve conditions that lead to poor health, deepening our commitment to create more healthy years for all, and supporting the medical community's pledge to do no harm. In 2021, we also dedicated 26.62% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and 100% of our overall operations were powered by renewable electricity. C. Health Professionals Education Our Graduate Medical Education (GME) program provides training and education for medical residents and interns in the interest of educating the next generation of physicians. The nationally acclaimed program attracts some of the top medical school graduates in the United States and serves as a national model by exposing future health care providers to an integrated health care delivery system. Residents are offered the opportunity to serve a large, culturally diverse patient base in a setting with sophisticated technology and information systems, established clinical guidelines and an emphasis on preventive and primary care. The majority of medical residents are studying within the primary care medicine areas of family practice, internal medicine, ob/gyn, pediatrics, preventive medicine, and psychiatry. In addition to GME, we provide a range of training and education programs for nurse practitioners, nurses, radiology and sonography technicians, physical therapists, post-graduate psychology and social work students, pharmacists, and other non-physician health professionals. D. Research Kaiser Permanente's research efforts are core to the organization's mission to improve population health, and its commitment to continued learning. Kaiser Permanente researchers study critical health issues such as cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente's research is broadly focused on three themes: understanding health risks; addressing patients' needs and improving health outcomes; and informing policy and practice to facilitate the use of evidence-based care. Kaiser Permanente is uniquely positioned to conduct research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data across inpatient, outpatient, and emergency department settings for its geographically and demographically diverse members. In 2021, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. engaged in 113 active studies (including 30 clinical trials) and published 78 journal articles. The Mid-Atlantic Permanente Research Institute (MAPRI) was formally established in 2011. The institute's mission is to advance medical knowledge and improve the quality of care and health of our patients and communities we serve by conducting innovative scientific and clinical research. The institute's primary research continues to be patient-focused, with major areas of study in infectious diseases, cardiovascular and metabolic research, oncology, and health informatics, as well as clinical trials. In 2021, the Mid-Atlantic Permanente Research Institute published the following research: A relatively small number of patients with two or more coexisting chronic conditions use a disproportionate share of healthcare resources. These high-cost/high-need patients require complex coordination of care to reduce the likelihood of outcomes such as hospital admission. Research scientists evaluated the impact of a new patient-centered model of care involving a dedicated physician and nurse team who coordinated both clinical and social services for a small patient panel. The study, published in the Journal of General Internal Medicine, found that this new model of care was associated with significantly reduced short-term mortality risk for eligible patients who volunteered to participate in the program.
V.Pandemic Response	After two years, the COVID-19 pandemic continues to be a significant risk in our communities, especially for people who are not yet vaccinated. We rapidly rolled out vaccines, and now boosters, and administered COVID-19 tests while managing new and unpredictable variants like delta and omicron as they surfaced. Kaiser Permanente awarded grants to dozens of community-based organizations, safety net providers, and trusted messengers in every market we serve to expand public education and to create trusted messenger campaigns to increase education and to remove barriers for individuals and communities at highest risk for contracting COVID-19. Kaiser Permanente's COVID-19 Social Health Playbook provides care teams with guidance and tools for screening patients for social needs, connecting them to help, and following up to ensure their needs are met. The guidelines have a strong focus on addressing COVID-19 patients' social needs to improve their health outcomes and to prevent further transmission of the virus. Kaiser Permanente has been part of studies to improve our understanding of COVID-19 and develop tools to prevent and treat the disease, including clinical trials to determine the safety and effectiveness of coronavirus vaccines.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	KAISER MANAGEMENT SERVICES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA 15L	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Field	Value	IRS element (for citing)
EIN	823908916	EIN
Primary Activities	HEALTH CARE	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd
Total Income	$1,669,616,197	TotalIncomeAmt
End Of Year Assets	$78,508,403	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
KAISER FOUNDATION HOSPITALS
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	941105628	HEALTH CARE	CA	501(c)(3)	3	NA	false
KAISER FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	941340523	HEALTH CARE	CA	501(c)(3)	10	NA	false
KAISER FOUNDATION HEALTH PLAN OF CO
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	840591617	HEALTH CARE	CO	501(c)(3)	10	KFHP INC	Yes (true)
KAISER FOUNDATION HEALTH PLAN OF GA INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	581592076	HEALTH CARE	GA	501(c)(3)	10	KFHP INC	Yes (true)
KAISER FOUNDATION HEALTH PLAN OF THE NW
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	930798039	HEALTH CARE	OR	501(c)(3)	10	KFHP INC	Yes (true)
KAISER FDN HEALTH PLAN OF WASHINGTON
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	910511770	HEALTH CARE	WA	501(c)(3)	3	KFHPW HLDING	Yes (true)
KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943299125	ASSET MGMT	CA	501(c)(3)	12-I	KFH	Yes (true)
KAISER HEALTH PLAN ASSET MANAGEMENT INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943299124	ASSET MGMT	CA	501(c)(3)	12-I	KFHP INC	Yes (true)
CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943299123	ADMIN	CA	501(c)(3)	12-I	KFHP INC	Yes (true)
LOKAHI ASSURANCE LTD
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	912171891	WC PLACEMENT	HI	501(c)(3)	12-I	KFHP INC	Yes (true)
1800 HARRISON FOUNDATION
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943317484	FINANCING	CA	501(c)(3)	12-I	KFHP INC	Yes (true)
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	311779500	FINANCING	CA	501(c)(3)	12-I	KFH	Yes (true)
KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	930954562	HEALTH CARE	OR	501(C)(3)	10	KFHP INC	Yes (true)
KP BERNARD J TYSON SCHOOL OF MEDICINE
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	814053028	MEDICAL EDU	CA	501(C)(3)	2	KFH	Yes (true)
KFHPW HOLDINGS
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	930480268	HEALTH CARE	WA	501(C)(3)	12-I	KFHP INC	Yes (true)
GROUP HEALTH NORTHWEST
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911216856	INACTIVE	WA	501(C)(3)	12-I	KFHP OF WA	Yes (true)
KAISER FDN FOR THE ADV OF INTEGRATED HC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	823819611	ADVOCACY	CA	501(C)(4)	N/A	KFHP INC	Yes (true)
GROUP HEALTH OF WASHINGTON
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911314907	INACTIVE	WA	501(c)(3)	12-I	KFHP OF WA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	NXT CAP SR FD ILLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	191 N Wacker Dr 1200	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
EIN	371651297	EIN
Primary Activities	INVESTMENT	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
UBI Code V	$0	UBICodeVAmt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd
OAK TREE ASSURANCE LTD
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	030329760	INSURANCE	VT	NA	C CORP	$0	$0	Yes (true)
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943203402	INSURANCE	CA	NA	C CORP	$0	$0	Yes (true)
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943245176	CONSULTING	CA	NA	C CORP	$0	$0	Yes (true)
GROUP HEALTH SERVICES INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911392222	INACTIVE	WA	NA	C CORP	$0	$0	Yes (true)
KFHP OF WASHINGTON OPTIONS INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911467158	INSURANCE	WA	NA	C CORP	$0	$0	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (36 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
KAISER FOUNDATION HEALTH PLAN INC
L	$76,004,621	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
M	$111,704,448	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
P	$216,754,897	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
Q	$54,815,094	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
R	$112,236,439	PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
S	$266,189,810	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
M	$240,638,433	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
P	$16,773,954	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
Q	$5,368,084	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
R	$1,046,870	PER AGREEMENT
KAISER FOUNDATION HOSPITALS
S	$3,040,416	PER AGREEMENT
KAISER FDN HEALTH PLAN OF COLORADO
L	$2,860,963	PER AGREEMENT
KAISER FDN HEALTH PLAN OF COLORADO
M	$782,281	PER AGREEMENT
KAISER FDN HEALTH PLAN OF COLORADO
R	$62,377	PER AGREEMENT
KAISER FDN HEALTH PLAN OF COLORADO
S	$514,967	PER AGREEMENT
KAISER FDN HEALTH PLAN OF GEORGIA INC
L	$5,090,372	PER AGREEMENT
KAISER FDN HEALTH PLAN OF GEORGIA INC
M	$5,017,995	PER AGREEMENT
KAISER FDN HEALTH PLAN OF GEORGIA INC
Q	$50,275,384	PER AGREEMENT
KAISER FDN HEALTH PLAN OF GEORGIA INC
R	$153,469	PER AGREEMENT
KAISER FDN HEALTH PLAN OF GEORGIA INC
S	$263,648	PER AGREEMENT
KAISER FDN HEALTH PLAN OF THE NORTHWEST
L	$880,452	PER AGREEMENT
KAISER FDN HEALTH PLAN OF THE NORTHWEST
M	$161,138	PER AGREEMENT
KAISER FDN HEALTH PLAN OF THE NORTHWEST
P	$156,653	PER AGREEMENT
KAISER FDN HEALTH PLAN OF THE NORTHWEST
S	$677,607	PER AGREEMENT
CAMP BOWIE SERVICE CENTER
P	$72,068,037	PER AGREEMENT
CAMP BOWIE SERVICE CENTER
Q	$521,235	PER AGREEMENT
CAMP BOWIE SERVICE CENTER
S	$6,158,780	PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
L	$8,475,383	PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
M	$29,173,483	PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
Q	$7,818,758	PER AGREEMENT
LOKAHI ASSURANCE LTD
L	$29,649,680	PER AGREEMENT
LOKAHI ASSURANCE LTD
M	$7,235,937	PER AGREEMENT
LOKAHI ASSURANCE LTD
Q	$6,095,678	PER AGREEMENT
LOKAHI ASSURANCE LTD
R	$7,311,261	PER AGREEMENT
OAK TREE ASSURANCE LTD
M	$812,490	PER AGREEMENT
OAK TREE ASSURANCE LTD
Q	$52,472	PER AGREEMENT